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Chinese Journal of Minimally Invasive Surgery

2002 (v1, n1) to Present ISSN: 1671-8925

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Comparison of Analgesic Effects Between Flurbiprofen and Parecoxib Sodium in Lower Extremity Liposuction for Primary Lymphaticedema

Weixuan SHENG ; Lei GUAN ; Feng FENG

Chinese Journal of Minimally Invasive Surgery.2015;(6):527-530. doi:10.3969/j.issn.1009-6604.2015.06.012

Objective To investigate analgesic effects of flurbiprofen in lower extremity liposuction for patients with primary lymphedema. Methods A total of 60 patients receiving lower extremity liposuction under general anesthesia were allocated to 3 groups:the control group (group A) received no analgesic drug 10-20 min before the end of operation, the parecoxib group (group B) received intravenous parecoxib 40 mg, and the flurbiprofen group (group C) received intravenous flurbiprofen 100 mg.The VAS was recorded at 1, 2, 6, 12, and 24 h after operation.Adverse reactions were also recorded . Results The VAS of rest pain and motion pain at 1, 2, 6, and 12 h were significantly lower in the group B than those in the group A (P<0.05);the VAS of rest pain and motion pain at 1, 2, and 12 h were significantly lower in the group C than those in the group A (P<0.05).The VAS at 1 and 2 h did not differ between the group B and C (P>0.05), but had significant difference at 6 and 12 h (P<0.05).No significant differences in the VAS at 24 h were observed among the three groups (P>0.05).Adverse reactions were not different among the three groups (P>0.05). Conclusion Both flurbiprofen and parecoxib sodium can achieve good postoperative analgesic effects in patients with lymphedema receiving lower extremity liposuction .

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Arthroscopic Repair for Medial Meniscus Tear:a Case Report of a 4-year-old Boy

Yingchun WANG ; Hu XU ; Chunli ZHANG

Chinese Journal of Minimally Invasive Surgery.2015;(6):574-576. doi:10.3969/j.issn.1009-6604.2015.06.027

[Summary] This paper reported a case of 4-year-old boy suffered with medial meniscus tear treated by arthroscopic repair in our hospital.After the boy injured his knee , plaster was applied for 4 weeks.Without any symptomatic progress , he was hospitalized with the diagnosis of medial meniscus tear .We performed arthroscopic meniscus repair , using 4.0-mm arthroscopy.At 3-month follow-up, the boy could full-bearing walk with no pain or discomfort , with a range of motion of 0°-135°.The post-operational MRI at the fourth month showed preliminary healing of repaired meniscus .We believe that regular arthroscopic instruments can accomplish meniscus repair in young children .

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Operation Coordination for the da Vinci Robot Surgical System

Xiaofen YU ; Zhifei WANG ; Min HONG

Chinese Journal of Minimally Invasive Surgery.2015;(6):570-573. doi:10.3969/j.issn.1009-6604.2015.06.026

[Summary] This paper reported the surgical cooperation in 72 cases of da Vinci robot operations between September 2014 and December 2014 in this hospital .All the 72 cases of total laparoscopic operation by using the da Vinci robot assistance were successfully completed, without robot faults caused by mismatch and nursing complications caused by improper nursing .We believe that nurse training with robot surgical system and qualification certification , preoperative patient visits , reasonable arrangement of operation room , careful observation with skilled coordination with the robot , proper postoperative placement of the robot , and maintenance and disinfection of the machine are crucial to a successful surgery .

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Progress on Treatment of Stress Urinary Incontinence with Skeletal Muscle-derived Stem Cells

Wenli WANG ; Hua DUAN

Chinese Journal of Minimally Invasive Surgery.2015;(6):563-566. doi:10.3969/j.issn.1009-6604.2015.06.024

[Summary] There are a variety of treatment methods for stress urinary incontinence ( SUI) .Surgery is effective but has high risks, only to adapt to the limited population .Conservative treatment has a high recurrence rate and poor long-term results.Local injection of stem cell has been proposed as a new minimally invasive therapy of SUI .Stem cells, with the ability to transform into muscle cell , secrete various growth factors , promote local nerve and muscle tissue regeneration , and repair sphincter dysfunction .This article reviewed on therapy of skeletal muscle-derived stem cells and the associated risks of treatment .

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Reconsideration of Gastroesophago-larygotracheal Syndrome and Progress of Endoscopic Radiofrequency Energy Delivery for Gastroesophageal Reflux Disease

Zhiwei HU ; Jimi WU ; Zhonggao WANG

Chinese Journal of Minimally Invasive Surgery.2015;(6):558-562. doi:10.3969/j.issn.1009-6604.2015.06.023

[Summary] As the gradual deepening understanding of gastroesophageal reflux disease ( GERD ) , more extraesophageal symptoms are noted .The concept and therapeutic strategy for GERD has also undergone a quiet revolution over recent years .The application of proton pump inhibitor ( PPI) has been a landmark of medical treatment for GERD , and the invention of laparoscopic fundoplication and endoscopic radiofrequency energy delivery to the lower esophageal sphincter are marking a new era of comprehensive therapy for GERD .Good short and long term outcomes have been obtained since endoscopic radiofrequency energy delivery to the lower esophageal sphincter was applied on typical symptoms of GERD .Furthermore, the technique has also been successfully used in treating extraesophageal symptoms induced by proximal reflux in China .With more simple and less invasive features compared with anti-reflux surgery, the radiofrequency procedure has broad application prospects .

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Efficacy of Percutaneous Kyphoplasty for Osteoporosis Vertebral Compression Fractures

Zhenhe YU ; Dongjun LI

Chinese Journal of Minimally Invasive Surgery.2015;(6):555-557. doi:10.3969/j.issn.1009-6604.2015.06.022

Objective To evaluate the clinical effects of percutaneous kyphoplasty ( PKP ) for osteoporosis vertebral compression fractures . Methods From January 2011 to June 2013, 65 patients underwent PKP .The evaluation was based on the visual analogue scale (VAS), vertebral height, and Cobb’s angle recorded at 3 days and 6 moths postoperatively.The duration of follow-up after operation was 6-12 months. Results The PKP operation was successfully completed in all the 65 cases.The VAS reduced from 6.62 ±0.63 before operation to 3.22 ±1.20 at 3 days (P =0.000) and 2.12 ±1.15 (P =0.000) at 6 months postoperatively.The vertebral height was increased from (15.26 ±1.19) mm before operation to (18.14 ±1.29) mm at 3 days (P=0.000) and (17.65 ±1.37) mm (P=0.000) at 6 months postoperatively.The Cobb’s angle was decreased from 16.25°±2.66° before operation to 6.34°±1.68°at 3 days (P=0.000) and 7.13°±1.82°(P=0.000) at 6 months postoperatively. Conclusion Percutaneous kyphoplasty can relieve pain and improve the functions .

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Application of a Self Designed Retractor Made by Stainless Steel Tongue Depressor in Small Incision Appendectomy

Chunguang LI ; Peng YUAN ; Xuelai LIU

Chinese Journal of Minimally Invasive Surgery.2015;(6):548-550. doi:10.3969/j.issn.1009-6604.2015.06.019

[Summary] Between February 2010 and November 2014, a retractor fabricated by stainless steel tongue depressor was used in 30 cases of small incision appendectomy in our department .All the operations were performed via an incision 1.5-3 cm in length.No complications were found .Such self designed retractor can be clinically utilized with characteristics of cheapness , safety, and good exposure of operative field .

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Application of Percutaneous Nephrolithotomy Combined with Ureteroscopy in Supine Anterolateral Lithotomy Position for the Management of Complicated Upper Ureteric Calculi

Shengtao IE ; Guangyu CHEN

Chinese Journal of Minimally Invasive Surgery.2014;(4):348-349,369. doi:10.3969/j.issn.1009-6604.2014.04.019

Objective To investigate the safety and efficacy of percutaneous nephrolithotomy ( PCNL ) combined with ureteroscopy in supine anterolateral lithotomy position for the management of complicated upper ureteric calculi . Methods From January 2009 to October 2012, 67 patients underwent PCNL combined with ureteroscopy in supine position under general anesthesia . Renal calculi was treated with PCNL , and then ureteroscopy was used to break and wash out the residual calculi . Results All the 67 surgeries were completed successfully .Operation time was 46 -106 min ( average, 76 min); stone clearance rate was 92.5%(62/67);residual stone was found in 5 cases and were completely removed two weeks after ESWL .No massive hemorrhage , ureteral avulsion, pleura, abdominal organ injury or other complications occurred . Conclusions PCNL combined with ureteroscopy in supine anterolateral lithotomy position for the treatment of complicated upper ureteric calculi is safe and effective .It has shorter operative time and is convenient for the patients .

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The application of minimally invasive tracheostomy in critical patients

Jun FU ; Haohui CHEN ; Yuxin WANG

Chinese Journal of Minimally Invasive Surgery.2001;0(01):-.

Objective To study the application of percutaneous dilatational tracheostomy in the critical pa- tient. Methods Twenty eight critical patients performed percutaneous dilatational tracheostomy have been followed up in our hospital during 1996 - 2000, and the operating time, the perioperative complications and the following - up results were reviewed. Results all of the 28 patients were operated on successfully,no complication occurred dur- ing the operation , and little bleeding was observed, most of the patients have been followed up, the longest following - up period was 18 months, and the cosmetic effect was good. Conclusions The percutaneous dilatational tracheo- somy is a good less invasive surgical technique. It can meet the needs of the clinical tasks and worth to apply to some critical area.

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A new method of arthroscopic total meniscectomy (a report of 169 cases)

Jianquan WANG ; Yingfang AO ; Yaolin HU

Chinese Journal of Minimally Invasive Surgery.2001;0(01):-.

Objective To research for a new method of arthroscopic total meniscectomy with simple instru- ments. Methods One hundred and sixty nine cases were followed up for short period that had been operated on with a forward knife, a back cutting knife, a punch and a 30?scope from Nov. 1992. to Aug. 1998. Results The av- erage time of operation was 78 minutes. The operations had no injury to cartilage and ligament. It is necessary for only 7 .9 percent of patients to take analgesic intramuscularly after operation. Eight patients had a transient tourniquet paral- ysis. All of them could begin to work and exercise after postoperative 2 weeks. Conclusion As compared with the method introduced by David Sisk ,this method has the advantages of simple instruments, fewer ports and complications and minimal trauma Either lateral meniscus or medial meniscus can be cut off by the same method. This method is a safety and a better way to arthroscopic meniscectomy.

Country

China

Publisher

北京大学

ElectronicLinks

http://zgwcwk.paperopen.com/

Editor-in-chief

E-mail

PUH3_WCWK@mail.bjmu.edu.cn

Abbreviation

Chinese Journal of Minimally Invasive Surgery

Vernacular Journal Title

中国微创外科杂志

ISSN

1009-6604

EISSN

Year Approved

2009

Current Indexing Status

Currently Indexed

Start Year

1995

Description

历史沿革【现用刊名:中国微创外科杂志;曾用刊名:现代外科;创刊时间:1995】。

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